Betamethasone for Eyes, Ears and Nose

What is betamethasone for eyes, ears and nose?

Betamethasone is a prescription-only corticosteroid used to relieve inflammation in the eyes, ears, or nose. Sometimes known by brand names like Betnesol and Vistamethasone, it comes in drop form and may be prescribed on its own or combined with an antibiotic such as neomycin (as in Betnesol-N)[1]. 

You can also find out information about beclometasone tablets and skin treatments. 

What is betamethasone used for?

These drops are used to treat a variety of inflammatory conditions, including[1]: 

• Redness, swelling, or irritation in the eyes, ears, or nose 

• Allergic reactions 

• Conditions such as rhinitis or conjunctivitis 

• Mild infections where inflammation and bacterial infection coexist (in combination products like Betnesol-N) 

How does betamethasone work?

Betamethasone reduces inflammation by[1]: 

• Suppressing the body’s immune response 

• Relieving symptoms such as redness, itching, and swelling 

• Preventing or treating infection when used in combination with antibiotics like neomycin 

Who can take betamethasone?

Betamethasone drops can be used by adults and children under medical supervision[1]. 

Speak to your doctor first if you[1]: 

• Have viral, fungal, or untreated bacterial infections in the eyes, ears, or nose 

• Have glaucoma, corneal or scleral thinning, a perforated eardrum, or tuberculosis 

• Are allergic to betamethasone or its ingredients 

• Wear soft contact lenses (these should be removed before use) 

• Have shingles 

• Have redness in your eyes not caused by allergy or inflammation 

• Have an untreated nasal infection 

• Have recently had nasal surgery 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

How do you apply betamethasone drops?

Follow these steps when applying the drops[1]: 

• Wash your hands before use 

• Avoid touching the dropper tip to any surface 

• Tilt your head back (for eyes or nose) or to the side (for ears) 

• Apply the prescribed number of drops 

• Wait a few minutes before using any other products in the same area

What is the typical dosage of betamethasone?

Dosage depends on the area being treated[1]: 

• Eyes: 1 to 2 drops up to 6 times daily, usually every 1 or 2 hours 

• Nose: 2 to 3 drops in each nostril, 2 to 3 times daily, usually every 2 to 3 hours 

• Ears: 2 to 3 drops into the affected ear, 2 to 3 times daily 

Use as prescribed. 

Can you stop taking betamethasone?

Do not stop suddenly if you’ve been using the drops for more than a few weeks. Speak to your pharmacist or doctor about tapering the dose to prevent rebound inflammation[1].  

What do you do if you take too much betamethasone?

Accidental overuse is unlikely to be harmful. Contact your GP or local A&E if you are concerned[1]. 

What do you do if you forget to take betamethasone?

Use it as soon as you remember. Do not double the dose to make up for the missed one[1]. 

How do you store betamethasone?

Store these drops properly to keep them effective[1]: 

• Store in a cool, dry place below 25°C 

• Do not freeze 

• Discard 4 weeks after opening the bottle 

What medicines can’t you take with betamethasone?

Betamethasone may interact with other medicines, especially if absorbed into the bloodstream. Use caution if you are taking[1]: 

• HIV medication like ritonavir or cobicistat (may increase steroid levels) 

• Other corticosteroids (increasing cumulative side effects) 

• Antifungal medication like itraconazole 

• Live vaccines (systemic steroid use may reduce vaccine effectiveness) 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of betamethasone?

What are the side effects of betamethasone? 

Side effects vary by treatment site and duration of use[1]. 

Common[1]: 

• Blurred vision 

• Stinging or irritation in the eyes 

• Increased eye pressure (glaucoma) 

• Cataracts 

• Ear or nose irritation 

• Nosebleeds 

• Change in smell or taste 

Rare but serious[1]: 

• Eye ulceration or perforation 

• Nose damage 

• Breathing problems 

• Hearing damage (especially if used on damaged skin) 

• Underactive adrenal glands if you’re also taking other steroids for conditions like fungal infections or HIV 

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include[1]:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue/grey skin or lips  

• Loss of consciousness 

 If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about betamethasone

Can I use it betamethasone with contact lenses? 
No – remove lenses before use and wait at least 15 minutes before reinserting or wear glasses until treatment has finished[1]. 

Can I use betamethasone while pregnant or breastfeeding? 
Only if prescribed – there may be risks to the baby but this will be assessed by the prescriber. 

How long can I use it for? 
Usually no more than 7 days unless your doctor advises otherwise[1]. 

Can children use betamethasone? 
Yes, but only under close medical supervision[1]. 

Can I drive after using it? 
Yes but wait for any blurred vision to clear[1]. 

Is betamethasone an antibiotic? 
No – but Betnesol-N contains neomycin, which is an antibiotic[1]. 

Can I use betamethasone for hay fever? 
Yes, if your doctor has prescribed it for nasal inflammation[1]. 

Can I use it in both eyes/ears/nose? 
Yes, if directed by your healthcare provider[1]. 

What if I accidentally swallow it? 
It’s unlikely to cause harm but seek advice if concerned[1]. 

For the official NHS guide to betamethasone for eyes, ears, and nose, visit their website.